Healthcare Provider Details

I. General information

NPI: 1518341403
Provider Name (Legal Business Name): ANGELA YANG ESQUIBEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 ASH ST
HOPKINTON MA
01748-1926
US

IV. Provider business mailing address

74 ASH ST
HOPKINTON MA
01748-1926
US

V. Phone/Fax

Practice location:
  • Phone: 516-232-3581
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number66269-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: